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A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients

Identifieur interne : 003268 ( PascalFrancis/Corpus ); précédent : 003267; suivant : 003269

A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients

Auteurs : X. Pivot ; P. Koralewski ; J. L. Hidalgo ; A. Chan ; A. Goncalves ; G. Schwartsmann ; S. Assadourian ; J. P. Lotz

Source :

RBID : Pascal:08-0479465

Descripteurs français

English descriptors

Abstract

Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m2 (then, in the absence of severe toxicity, at 25 mg/m2 from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0923-7534
A03   1    @0 Ann. oncol.
A05       @2 19
A06       @2 9
A08 01  1  ENG  @1 A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients
A11 01  1    @1 PIVOT (X.)
A11 02  1    @1 KORALEWSKI (P.)
A11 03  1    @1 HIDALGO (J. L.)
A11 04  1    @1 CHAN (A.)
A11 05  1    @1 GONCALVES (A.)
A11 06  1    @1 SCHWARTSMANN (G.)
A11 07  1    @1 ASSADOURIAN (S.)
A11 08  1    @1 LOTZ (J. P.)
A14 01      @1 Department of Medical Oncology, University Hospital Jean Minjoz, Besançon; Institut National de la Santé et de la Recherche Médicale, Unit 645 @2 Besançon @3 FRA @Z 1 aut.
A14 02      @1 Rydygier Memorial Hospital, os. Zlotej Jesieni 1 @2 31-826 Krakow @3 POL @Z 2 aut.
A14 03      @1 Clinical Oncology Institution and Research @2 Mendoza @3 ARG @Z 3 aut.
A14 04      @1 Department of Medical Oncology, Mount Hospital @2 Perth @3 AUS @Z 4 aut.
A14 05      @1 Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille @3 FRA @Z 5 aut.
A14 06      @1 Department of Medical Oncology, Federal Univ @2 Porto Alegre @3 BRA @Z 6 aut.
A14 07      @1 Department of Oncology development, Sanofi-Aventis @2 Antony @3 FRA @Z 7 aut.
A14 08      @1 Department of Medical Oncology, Hopital Tenon @2 Paris @3 FRA @Z 8 aut.
A20       @1 1547-1552
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 22429 @5 354000185788650050
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 28 ref.
A47 01  1    @0 08-0479465
A60       @1 P
A61       @0 A
A64 01  1    @0 Annals of oncology
A66 01      @0 GBR
C01 01    ENG  @0 Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m2 (then, in the absence of severe toxicity, at 25 mg/m2 from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.
C02 01  X    @0 002B02R
C02 02  X    @0 002B20E02
C03 01  X  FRE  @0 Etude multicentrique @5 01
C03 01  X  ENG  @0 Multicenter study @5 01
C03 01  X  SPA  @0 Estudio multicéntrico @5 01
C03 02  X  FRE  @0 Homme @5 02
C03 02  X  ENG  @0 Human @5 02
C03 02  X  SPA  @0 Hombre @5 02
C03 03  X  FRE  @0 Essai clinique phase II @5 03
C03 03  X  ENG  @0 Phase II trial @5 03
C03 03  X  SPA  @0 Ensayo clínico fase II @5 03
C03 04  X  FRE  @0 Traitement @5 04
C03 04  X  ENG  @0 Treatment @5 04
C03 04  X  SPA  @0 Tratamiento @5 04
C03 05  X  FRE  @0 Perfusion @5 05
C03 05  X  ENG  @0 Perfusion @5 05
C03 05  X  SPA  @0 Perfusión @5 05
C03 06  X  FRE  @0 Dérivé du taxane @5 06
C03 06  X  ENG  @0 Taxane derivatives @5 06
C03 06  X  SPA  @0 Taxane derivado @5 06
C03 07  X  FRE  @0 Résistance @5 07
C03 07  X  ENG  @0 Resistance @5 07
C03 07  X  SPA  @0 Resistencia @5 07
C03 08  X  FRE  @0 Stade avancé @5 08
C03 08  X  ENG  @0 Advanced stage @5 08
C03 08  X  SPA  @0 Estadio avanzado @5 08
C03 09  X  FRE  @0 Métastase @5 09
C03 09  X  ENG  @0 Metastasis @5 09
C03 09  X  SPA  @0 Metástasis @5 09
C03 10  X  FRE  @0 Cancer du sein @2 NM @5 10
C03 10  X  ENG  @0 Breast cancer @2 NM @5 10
C03 10  X  SPA  @0 Cáncer del pecho @2 NM @5 10
C03 11  X  FRE  @0 Chimiothérapie @5 11
C03 11  X  ENG  @0 Chemotherapy @5 11
C03 11  X  SPA  @0 Quimioterapia @5 11
C07 01  X  FRE  @0 Tumeur maligne @2 NM @5 37
C07 01  X  ENG  @0 Malignant tumor @2 NM @5 37
C07 01  X  SPA  @0 Tumor maligno @2 NM @5 37
C07 02  X  FRE  @0 Cancer @2 NM
C07 02  X  ENG  @0 Cancer @2 NM
C07 02  X  SPA  @0 Cáncer @2 NM
C07 03  X  FRE  @0 Pathologie de la glande mammaire @2 NM @5 38
C07 03  X  ENG  @0 Mammary gland diseases @2 NM @5 38
C07 03  X  SPA  @0 Glándula mamaria patología @2 NM @5 38
C07 04  X  FRE  @0 Pathologie du sein @2 NM @5 39
C07 04  X  ENG  @0 Breast disease @2 NM @5 39
C07 04  X  SPA  @0 Seno patología @2 NM @5 39
N21       @1 308
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0479465 INIST
ET : A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients
AU : PIVOT (X.); KORALEWSKI (P.); HIDALGO (J. L.); CHAN (A.); GONCALVES (A.); SCHWARTSMANN (G.); ASSADOURIAN (S.); LOTZ (J. P.)
AF : Department of Medical Oncology, University Hospital Jean Minjoz, Besançon; Institut National de la Santé et de la Recherche Médicale, Unit 645/Besançon/France (1 aut.); Rydygier Memorial Hospital, os. Zlotej Jesieni 1/31-826 Krakow/Pologne (2 aut.); Clinical Oncology Institution and Research/Mendoza/Argentine (3 aut.); Department of Medical Oncology, Mount Hospital/Perth/Australie (4 aut.); Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille/France (5 aut.); Department of Medical Oncology, Federal Univ/Porto Alegre/Brésil (6 aut.); Department of Oncology development, Sanofi-Aventis/Antony/France (7 aut.); Department of Medical Oncology, Hopital Tenon/Paris/France (8 aut.)
DT : Publication en série; Niveau analytique
SO : Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2008; Vol. 19; No. 9; Pp. 1547-1552; Bibl. 28 ref.
LA : Anglais
EA : Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m2 (then, in the absence of severe toxicity, at 25 mg/m2 from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.
CC : 002B02R; 002B20E02
FD : Etude multicentrique; Homme; Essai clinique phase II; Traitement; Perfusion; Dérivé du taxane; Résistance; Stade avancé; Métastase; Cancer du sein; Chimiothérapie
FG : Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein
ED : Multicenter study; Human; Phase II trial; Treatment; Perfusion; Taxane derivatives; Resistance; Advanced stage; Metastasis; Breast cancer; Chemotherapy
EG : Malignant tumor; Cancer; Mammary gland diseases; Breast disease
SD : Estudio multicéntrico; Hombre; Ensayo clínico fase II; Tratamiento; Perfusión; Taxane derivado; Resistencia; Estadio avanzado; Metástasis; Cáncer del pecho; Quimioterapia
LO : INIST-22429.354000185788650050
ID : 08-0479465

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Pascal:08-0479465

Le document en format XML

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<div type="abstract" xml:lang="en">Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m
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(then, in the absence of severe toxicity, at 25 mg/m
<sup>2</sup>
from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.</div>
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<s1>Department of Medical Oncology, University Hospital Jean Minjoz, Besançon; Institut National de la Santé et de la Recherche Médicale, Unit 645</s1>
<s2>Besançon</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Rydygier Memorial Hospital, os. Zlotej Jesieni 1</s1>
<s2>31-826 Krakow</s2>
<s3>POL</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Clinical Oncology Institution and Research</s1>
<s2>Mendoza</s2>
<s3>ARG</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Department of Medical Oncology, Mount Hospital</s1>
<s2>Perth</s2>
<s3>AUS</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille</s1>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Department of Medical Oncology, Federal Univ</s1>
<s2>Porto Alegre</s2>
<s3>BRA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="07">
<s1>Department of Oncology development, Sanofi-Aventis</s1>
<s2>Antony</s2>
<s3>FRA</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="08">
<s1>Department of Medical Oncology, Hopital Tenon</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA20>
<s1>1547-1552</s1>
</fA20>
<fA21>
<s1>2008</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>22429</s2>
<s5>354000185788650050</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2008 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>28 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>08-0479465</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Annals of oncology</s0>
</fA64>
<fA66 i1="01">
<s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m
<sup>2</sup>
(then, in the absence of severe toxicity, at 25 mg/m
<sup>2</sup>
from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B02R</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B20E02</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Etude multicentrique</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Multicenter study</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Estudio multicéntrico</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Homme</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Human</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Essai clinique phase II</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Phase II trial</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Ensayo clínico fase II</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Perfusion</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Perfusion</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Perfusión</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Dérivé du taxane</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Taxane derivatives</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Taxane derivado</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Résistance</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Resistance</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Resistencia</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Stade avancé</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Advanced stage</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Estadio avanzado</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Métastase</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Metastasis</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Metástasis</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Cancer du sein</s0>
<s2>NM</s2>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Breast cancer</s0>
<s2>NM</s2>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Cáncer del pecho</s0>
<s2>NM</s2>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Chimiothérapie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Chemotherapy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Quimioterapia</s0>
<s5>11</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie de la glande mammaire</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie du sein</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Breast disease</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Seno patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fN21>
<s1>308</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 08-0479465 INIST</NO>
<ET>A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients</ET>
<AU>PIVOT (X.); KORALEWSKI (P.); HIDALGO (J. L.); CHAN (A.); GONCALVES (A.); SCHWARTSMANN (G.); ASSADOURIAN (S.); LOTZ (J. P.)</AU>
<AF>Department of Medical Oncology, University Hospital Jean Minjoz, Besançon; Institut National de la Santé et de la Recherche Médicale, Unit 645/Besançon/France (1 aut.); Rydygier Memorial Hospital, os. Zlotej Jesieni 1/31-826 Krakow/Pologne (2 aut.); Clinical Oncology Institution and Research/Mendoza/Argentine (3 aut.); Department of Medical Oncology, Mount Hospital/Perth/Australie (4 aut.); Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille/France (5 aut.); Department of Medical Oncology, Federal Univ/Porto Alegre/Brésil (6 aut.); Department of Oncology development, Sanofi-Aventis/Antony/France (7 aut.); Department of Medical Oncology, Hopital Tenon/Paris/France (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2008; Vol. 19; No. 9; Pp. 1547-1552; Bibl. 28 ref.</SO>
<LA>Anglais</LA>
<EA>Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m
<sup>2</sup>
(then, in the absence of severe toxicity, at 25 mg/m
<sup>2</sup>
from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.</EA>
<CC>002B02R; 002B20E02</CC>
<FD>Etude multicentrique; Homme; Essai clinique phase II; Traitement; Perfusion; Dérivé du taxane; Résistance; Stade avancé; Métastase; Cancer du sein; Chimiothérapie</FD>
<FG>Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein</FG>
<ED>Multicenter study; Human; Phase II trial; Treatment; Perfusion; Taxane derivatives; Resistance; Advanced stage; Metastasis; Breast cancer; Chemotherapy</ED>
<EG>Malignant tumor; Cancer; Mammary gland diseases; Breast disease</EG>
<SD>Estudio multicéntrico; Hombre; Ensayo clínico fase II; Tratamiento; Perfusión; Taxane derivado; Resistencia; Estadio avanzado; Metástasis; Cáncer del pecho; Quimioterapia</SD>
<LO>INIST-22429.354000185788650050</LO>
<ID>08-0479465</ID>
</server>
</inist>
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